Uninsured Services - Fee Schedule
___ Administrative Services ___
Sick Notes
$25
Parking Permit Program
$30
CPP Disability
$85
Disability Tax Credit
$150
Narrative Letter
$75 (base fee)
Transfer of Medical Records
$25 (base fee + 10 per image)
Primary Caregiver Tax Credit Certificate
$40
Employment Insurance
$85
Insurance Form
$150
___ Clinical Services ___
Travel Consultation
$60-$100* (* does not include the cost of vaccines of injections)
Driver’s License Exam and Form (Vision test may not be included and is offered free at MPI locations)
$150
Mantoux / Tuberculin test
$100 per step
Return to Work/Functional Abilities/Work Fitness
$50
Pre-Op (Cosmetic)
$130
Gardasil (Certain criteria must be met) Injection only
$30
Injections (Does not include cost of the vaccine)
Twinrix*
*$30 per injection 3 injections required REQUIRES A TRAVEL CONSULTATION
Shingles/Shingrix**
**$30 per injection – Injection only
_ Missed Appointments _
Office Visit
$75
Surgical Procedure Appointment
$100
Active Manitoba Health Coverage is required to be seen by a Doctor at the Clinic. Other Active Provincial Health Care Coverage, except Quebec, is accepted.
